Payment Information

---

National Identity Card Number *:

Payment Method:

Bank deposit money order pay at office

Paid Amount *:

paid Date *:

Which method do you use to send us payment details?

Upload :

Post:

Business Information

---

Contract Range *:

less than 2 million(C-9) between 2-5 million(C-8)(C-7) between 5-10 million(C-6) between 10-20 million(C-5)

Business Name *:

Address *:

Line 2:

Line 3:

BR Number *:

BR Date *:

Which method do you use to send us BR ?

Upload :

Post:

Nature of The Business:

sole owner limited company partnersip cooperation

Mobile Number *:

Land Line:

E-mail:

Fax:

Website:

Bank Account Number *:

Vat Number:
(if any)

License Number:
(if any)

License Date :

Which method do you use to send us License ?

Upload :

Post:

Name of the Owner/Directors/Partners:

Special Certificate:

CIDA certificate:

Upload :

Post:

Item Selection

---

Main Code	Sub1	Sub2	Sub3	Sub4	Sub5	Sub6	Sub7	Sub8	Sub9	Sub10
Construction and Contract Services

Other Information

---

Employee Details:

Employee	Position	Number of Employees
Trained Employee	Engineer - Degree
	Technical Officer - Diploma
	Trained Technician
	Other
Not Trained Employee
Other

Equipment Details:

Equipment	Amount

Past Supply Details:

Institution	money spent	date of completed

Current Supply Details:

Institution	Estimated money	date to be completed

Document Upload

---

National Identity Card Number:

Upload BR:

---

National Identity Card Number *:

Upload License:

National Identity Card Number *:

Upload CIDA:

National Identity Card Number *:

Upload Slip: